Final

Question 1

All of the following are possible explanations for burning mouth syndrome except one, which is the exception?
a. neuropathic etiology
b. anemia
c. sensory nerve damage
d. allergic reactions

Answer 1

d. allergic reactions

Question 2

Which one of the following is important in the initial diagnosis of idiopathic burning mouth syndrome?
a. biopsy and histopathologic examination
b. blood tests
c. phycological testing
d. nerve conduction tests

Answer 2

b. blood tests

Question 3

Which of the following is a significant part of the historical diagnosis for burning mouth syndrome?
a. postmenopausal women
b. men over 60
c. women with sickle cell anemia
d. patients undergoing psychotherapy

Answer 3

a. postmenopausal women

Question 4

All of the following drugs are helpful in treating trigeminal neuralgia except one, which is the exception?
a. gabapentin
b. carbamazepine
c. percocet
d. phenytoin with baclofen

Answer 4

c. percocet

Question 5

Which systemic illness is most often seen in younger patients with secondary trigeminal neuralgia?
a. colitis
b. multiple sclerosis
c. lung disease
d. cardiac disease

Answer 5

b. multiple sclerosis

Question 6

Which of the following characteristics is not relevant in establishing the diagnosis of trigeminal neuralgia?
a. branch of the nerve affected
b. description of pain
c. pain relief from NSAIDs
d. Identification of the trigger zone

Answer 6

c. pain relief from NSAIDs

Question 7

The pain in trigeminal neuralgia has been described as?
a. dull ache
b. throbbing
c. electric shock-like
d. slight burning

Answer 7

c. electric shock-like

Question 8

The symptoms in pretrigeminal neuralgia are?
a. are the same as trigeminal neuralgia
b. cause facial paralysis
c. are a dull ache and burning pain
d. last only one week

Answer 8

c. are a dull ache and burning pain

Question 9

Bell palsy is a disorder involving the?
a. trigeminal nerve
b. parotid gland
c. facial nerve
d. TMJ

Answer 9

c. facial nerve

Question 10

All of the following statements are correct for Bell palsy except one, which is the exception?
a. The condition develops rapidly
b. The condition usually resolves within 1-2 months
c. Most experience complete resolution
d. It is characterized by paralysis of the bilateral facial nerves

Answer 10

d. It is characterized by paralysis of the bilateral facial nerves

Question 11

Disorders of the articulation between the mandible and maxilla are part of?
a. synovial hyperplasia
b. mandibulomaxillary dysfunction
c. TMD
d. Mandibular dysfunction

Answer 11

c. TMD

Question 12

Using a stethoscope to listen to abnormal noises in the TMJ is called?
a. audiology
b. auscultation
c. arthrography
d. crepitus

Answer 12

b. auscultation

Question 13

Which of the following is the most important aspect of the management of TMD?
a. palpation of the muscles of mastication
b. using a nonsurgical approach
c. adjusting to the occlusion
d. establishing an accurate diagnosis

Answer 13

d. establishing an accurate diagnosis

Question 14

Translation movements of the temporomandibular movements are?
a. hinge movements
b. sliding movements
c. rotational movements
d. used only for diagnosis

Answer 14

b. sliding movements

Question 15

Which of the following is considered a parafunctional habit?
a. bruxing
b. mastication
c. clenching
d. Both a and c

Answer 15

d. Both a and c

Question 16

All of the following are considered functions of the articular disc except?
a. shock absorption
b. sensory innervation
c. dissipation of synovial fluid
d. facilitation of rotation and translation

Answer 16

b. sensory innervation

Question 17

Which of the following is a symptom of a TMD?
a. pain
b. malocclusion
c. a history of surgical treatment of the jaws
d. occlusal adjustment

Answer 17

a. pain

Question 18

Immobility of the TMJ because of bony union between the articulating structures of the joint is called?
a. hypermobility
b. ankylosis
c. disc displacement
d. osteoarthritis

Answer 18

b. ankylosis

Question 19

Which of the following is not a form of surgical treatment used for TMD?
a. arthrocentesis
b. condylotomy
c. joint reconstruction
d. occlusal appliance

Answer 19

d. occlusal appliance

Question 20

Which of the following is the most common benign tumor of the synovium of the TMJ?
a. osteoblastoma
b. osteochondroma
c. chondroblastoma
d. synovial chondromatosis

Answer 20

b. osteochondroma

Question 21

Which of the following diagnostic modalities should be used for patients suspected of osteoarthritis of the TMJ?
a. CBCT
b. Magnetic resonance tomography
c. Local anesthesia injected into the joint
d. Arthrography

Answer 21

a. CBCT

Question 22

Which of the following muscles cannot be palpated on clinical examination?
a. medial pterygoid
b. lateral pterygoid
c. masseter
d. temporalis

Answer 22

b. lateral pterygoid

Question 23

How may dental management be modified for a patient with myofascial pain and dysfunction?
a. shorter appointments
b. Jaw exercises
c. Pain management with nitrous oxide analgesia
d. all of the above

Answer 23

d. all of the above

Question 24

Which of the following therapies would you recommend to a patient diagnosed with myofascial pain who did not respond to a 2-month course of soft diet, oral appliance therapy, and hot/cold compresses?
a. continue the present therapy for another 2 months
b. occlusal adjustments
c. TMJ arthrotomy
d. Physical therapy

Answer 24

d. Physical therapy

Question 25

Which condition is associated with crepitus? a. disc displacement with reduction b. disc displacement without reduction c. degenerative joint disease d. myofascial pain

Answer 25

c. degenerative joint disease

Question 26

Which nerve is primarily responsible for innervating the temporomandibular joint? a. deep temporal nerve b. great occipital nerve c. masseteric nerve d. auriculotemporal nerve

Answer 26

d. auriculotemporal nerve

Question 27

All of the following are mandatory for evaluating a patient suspected of disc displacement without reduction except? a. panoramic radiographic examination b. medical history c. history of symptoms d. medical consultation

Answer 27

a. panoramic radiographic examination

Question 28

Disorders in growth and development that may result in TMD include all of the following except which? a. rheumatoid arthritis b. ankylosing spondylitis c. scleroderma d. condylar hyper and hypoplasia

Answer 28

c. scleroderma

Question 29

All of the following are clinical features that suggest a TMD except? a. orofacial pain b. crepitus c. missing teeth d. restricted jaw function

Answer 29

c. missing teeth

Question 30

The most common disease affecting the TMJ is? a. rheumatoid arthritis b. osteoarthritis c. osteosarcoma d. reactive arthritis

Answer 30

b. osteoarthritis

Question 31

The presence of muscle spasms or dysfunctional muscle activity is determined by: a. auscultation b. radiologic imaging c. palpation d. patient history

Answer 31

c. palpation

Question 32

The liquid that fills the TMJ upper and lower compartments is: a. transudate b. serum c. synovial fluid d. blood plasma

Answer 32

c. synovial fluid